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Dr. Edgardo Tan, MD
Pediatric Adolescent Medicine Physician in Elizabeth, New Jersey
NPI 1356402952

Edgardo Tan is a Pediatric Adolescent Medicine Physician based in Elizabeth, NJ and is specialized in Adolescent Medicine. Edgardo Tan practices in Elizabeth, NJ and has the professional credentials of MD. The NPI Number for Edgardo Tan is 1356402952 and holds a License No. 25MA 042112 (New Jersey).

The current practice location address for Edgardo Tan is 314 1St Ave, Elizabeth, NJ and can be reached out via phone at 908-353-5280.

Location: 314 1St Ave, Elizabeth, NJ, 07206-1659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356402952
Provider Name
Edgardo Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
314 1St Ave, Elizabeth, NJ, 07206-1659
Phone Number
908-353-5280
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01000060500 01 NJ AMERICHOICE
1398709 05 NJ
1027297 01 NJ HORIZON NJ HEALTH
12278 01 NJ AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
314 1St Ave
City
Elizabeth
State
New Jersey
Zip
07206-1659
Phone Number
908-353-5280
Fax Number
person
Provider Business Mailing Address Details
Address
314 1St Ave
City
Elizabeth
State
New Jersey
Zip
07206-1659
Phone Number
908-353-5280
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
25MA 042112 (New Jersey)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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